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KMID : 0385920180290020188
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Journal of the Korean Society of Emergency Medicine
2018 Volume.29 No. 2 p.188 ~ p.196
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Characteristics of mass casualty chemical incidents: a case series
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Kim Sol-A
Park Jung-Ho
Park Ju-Ok
Hong Ki-Jeong
Choi Dong-Sun
Kim Tae-Han
Jeong Jong-Cheol
Song Sung-Wook
Song Kyung-Jun
Shin Sang-Do
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Abstract
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Objective: The aim of this study was to evaluate the characteristics of the emergency medical services (EMS) response and clinical information on mass casualty chemical incidents in Korea.
Method: This retrospective observational study analyzed the integrated data of the EMS rescue records and EMS-treated severe trauma registry from January 2012 to December 2013. Two databases were integrated using the unique accident identification number. Chemical incidents were defined by an in-depth review of the EMS rescue records according to a previous study. Mass casualty incidents were defined as more than 6 injured individuals. The rescue, EMS, and hospital variables of mass casualty chemical incidents were analyzed.
Results: A total of 8 mass casualty chemical incidents and 73 patients were included. The mean responded rescue vehicles and EMS vehicles were 2.4 and 3.5, respectively. The 4 incidents were an oil spill due to traffic accidents and most patients suffered minor trauma. A carbon monoxide leak caused the largest number of patients (23 people). The explosion caused by flammable polyethylene leaks showed the highest severity. In that explosion, the mortality rate was 40% and 8 patients had a disability at discharge.
Conclusion: This study evaluated the characteristics of the EMS response and clinical information on mass casualty chemical incidents in Korea.
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KEYWORD
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Chemical hazard release, Mass casualty incidents, Emergency medical services
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